Individual
REBECCA LEA WOOLWEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
804 W PARK AVE, OCEAN, NJ 07712-7272
(732) 531-0010
Mailing address
804 W PARK AVE, OCEAN, NJ 07712-7272
(732) 531-0010
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA10890500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/25/2017
Last updated
09/26/2024
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